Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $46.77 / $46.77	Facility		$36.31	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $48.98	Professional		$23.99	$36.31	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $63.10	Facility		$33.88	$33.88	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $66.07 / $81.28	Professional		$36.31	$66.07	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $104.71	Professional		$53.70	$95.50	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $61.66 / $263.03	Facility		$38.90	$61.66	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $95.50	Professional		$23.99	$34.67	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $74.13	Professional		$61.66	$64.57	$74.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $95.50	Professional		$48.98	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.99 / $39.81	Facility		$16.22	$23.99	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $51.29	Professional		$21.88	$28.18	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $51.29	Professional		$39.81	$51.29	$51.29